Table 1: Laboratory Analyses and Medical Treatment Before the Parathyroidectomy and Changes Described After Surgery

Variable Reference Analysis Before Parathyroidectomy Analysis After Parathyroidectomy Significant Changes
2 months 2 years
Hemoglobin 12.0–16.0 gr/dl 8.9 11.1 13.5 *
Hematocrit 36.0–46.0 % 27 32 42 *
White-cell count 4500-11,000 /mm3 3640 8420 7250
Neutrophils 36.0–46.0 % 57 83 81
Lymphocytes 12.0–16.0 % 24 11 13
Monocytes 4–11 % 10 4 5
Eosinophils 0–8 % 7 1 1
Basophils 0–3 % 2 1 0
Platelet count 150-400 mm3 256.000 344.000 340.000
ERS ml/h 1-20 ml/ h 58 6 7 *
C-reactive protein 0-1 mg/dl 2.6 Negative Negative
Glucose (mg/dl) 70-110 mg/dl 83 91 88
Urea nitrogen (mg/dl) 8-25 mg/dl 35.4 35.5 22
Creatinine (mg/dl) 0.6 – 1.1 mg/dl 1.9 1.92 1.1 *
ALT 7-30 u/liter 8.2 37.9 14.0
AST 9-32 u/liter 25 28.5 20.0
Calcium 8.5-10.5 mg/dl 11.2 8.2 9.1 *
phosphorus 2.6-4.5 mg/dl 4.1 3.84 3.7
Sodium 135–145 mmol/L 140 135 139
Potassium 3.4-4.8 mmol/L 4.4 4.16 4.1
Parathyroid hormone 10-65 pg/ml 213 82.9 34 *
TSH 0.4- 4 µU/ml 1.76 0.86 1.7
Rheumatoid factor < 14 Negative Negative Negative
ANAS 1:60- 1:120 1/1280 1/160 1/40 *
Anti-La < 20 107.2 25.4 14 *
Anti-Ro < 20 197 132 52 **
Anti-Sm < 20 3.9 1.5 1.7
Anti-RNP < 20 4.7 2.6 1.8
Direct coombs Negative Positive ++ Negative Negative *
HCV Antibodies Negative
HBsAg Negative
Proteinuria 0 mgr/dL 150 40 0
Serum albúmine 2.9-4.9 gr/dl 4.2 3.13 4.3
Serum α 1 globuline 0.08-0.36 gr/dl 0.2 0.1 0,2
Serum α 2 globuline 0.44-1.09 gr/dl 0.84 0.65 0.9
Serum β 1 globuline 0.66-1.05 gr/dl 0.66 0.64 0.9
Serum γ globuline 0.57-1.95 gr/dl 2.1 0.32 0.89 *
Serum Kappa chain 574- 1276 2140 519 502 *
Serum lambda chain 269-632 952 263 308 *
Urine Kappa chain < 1.85 mg/dl 2.59 <1.85 <1.85
Urine Lambda chain < 5 mg/dl 5.2 <5 <5
Medical Treatment
Prednisone 25 mg/d 10 mg/d Withdraw
Hydroxychloroquine 200 mg/d 100 mg/d Withdraw
Azathioprine 100 mg/d 50 mg/d Withdraw

* Variable normalization.
** Significant decline in the variable. ESR: Erytrosedimentation rate. CRP: reactive C-protein. ALT: Alanine aminotransferase. AST: Aspartate aminotransferase. HBsAg: hepatitis B virus surface antigen. HCV: hepatitis C virus.